COVID-19 Vaccination Information

Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

UPMC complies with all governmental requirements related to local, state, and federal COVID-19 vaccination for employment. The Jan. 13 Supreme Court of the United States decision that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure employees either get vaccinated or receive a requested medical or religious exemption.

If you are not yet vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC or visit a non-UPMC provider or UPMC Urgent Care location.

Proof of vaccination is not required upon hire; however, employees will be responsible for ensuring post-hire compliance by getting vaccinated or requesting a medical or religious exemption.

For more information about UPMC’s response to COVID-19, please visit UPMC.com/coronavirus.

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RN Care Manager, Community Osteo

  • Job ID: 20000337
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Pinnacle Hospitals
  • Department: Case Management
  • Location: 4300 Londonderry Road, Harrisburg PA 17109
  • Union Position: No
  • Salary Range: $31.02 to $48.12 / hour

Description

Sign-On Bonus: 

This position is eligible for a generous sign-on bonus! Now is your moment to find your place at UPMC! 

Are you a Registered Nurse (RN) in the Harrisburg area looking for the next step in your career? Are you looking for a day shift position that values a good work/home balance? UPMC Communirty Osteopathic is looking for a RN Care Manager. Care Managers are valued members of the interdisciplinary care team. 

Care Managers use their nursing knowledge and critical thinking skills to help patients and families without doing hands on care or heavy lifting. The Care Management Department is very supportive each other, promoting autonomy, supporting career growth through certification, and developing staff from within. 

Schedule: Hours are primarily day time hours with flexibility for appointments. There may be the occasional need to stay later to touch base with the evening shift staff, or come in early to touch base with night shift staff. These days can be planned to fit your schedule.

Responsibilities:

  • Starts discharge planning on admission and ensures DC documentation is completed and updated regularly. Proactively identifies barriers to discharge and works with multi-disciplinary team to expedite care, monitor length of stay (LOS) and facilitate discharge. 
  • Takes leadership role in concurrent denial process. Works with Care Management Director, Physician Advisor, Attending Physicians and clinical team to obtain necessary information and documentation to support LOC. Initiates acceptance of lower LOC when appropriate with assistance from billing office. Obtains Consent to Appeal on Behalf of Member on all cases with concurrent denial.
  • Performs clinical review on admission and/or continued stay using InterQual criteria to determine appropriate level of care (Inpatient, OBS, etc.)
  • Obtains all necessary authorizations for level of care including admission and continued stay. Follows payer-specific requirements to obtain and document authorizations.
  • Reviews medical record daily to ensure patient continues to meet LOC requirements and that chart documentation supports LOC determination.
  • Works with Physician Advisor and Attending Physicians to obtain necessary documentation to support current LOC, alters LOC as needed and expedites discharge planning for patients who no longer require hospital services.
  • Collaborates with patients, caregivers, internal/external healthcare providers, agencies and payers to plan and execute a safe discharge.
  • Re-evaluates and revises discharge plan as patient clinical condition merits. Develops alternative/multiple discharge plans in anticipation of patient need for post-acute services.
  • Serves as resource to clinical and finance teams for clinical documentation requirements, level of care, insurance coverage issues, specific payer and government policies and post-acute services coverage and availability.
  • Attends Department meetings and Corporate Care Management Training

Qualifications

  • Graduate of approved school of nursing.
  • Two (2) years of nursing experience required
  • BSN or related Bachelors degree preferred
  • Previous case management experience preferred
  • Knowledge of healthcare financial and payor issues preferred
  • Knowledge of state, local, and federal programs preferred
  • Use of InterQual criteria preferred, but not required

Licensure, Certifications, and Clearances:
Currently licensed as professional nurse in the Commonwealth of PA

UPMC approved Care Management certification preferred

Clearances must be dated within 90 days

  • Registered Nurse (RN)
  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

UPMC is an Equal Opportunity Employer/Disability/Veteran

 

COVID-19 Vaccination Information

Individuals hired into this role must comply with UPMC’s COVID vaccination requirements upon beginning employment with UPMC. Refer to the COVID-19 Vaccination Information section at the top of this page to learn more.

Total Rewards

More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life — because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

Our Values

At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct